Individual provider Active NPI

Shirisha A.S Avadhanula, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Cleveland, OH
National Provider Identifier
1891136263
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35.136366 Issued in OH
Practice address
9500 Euclid Avenue
Cleveland, OH 44193-0001
Phone
(202) 444-2200
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35.136366 OH Primary

Addresses

Primary practice location

9500 Euclid Avenue
Cleveland, OH 44193-0001

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003303 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 9133456262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians

Practice addresses (Care Compare)

938 N Cherry St
Tulare, CA 93274-2210
Phone (559) 686-3481

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.136366OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District CurrentSince May 1, 2024 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Reedley Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Kaweah Delta Health Care District CurrentSince May 1, 2024 Accepting new patients
Reedley Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

1781 Simpson St
Kingsburg, CA 93631
Phone (559) 315-3566

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1000 N Mooney Blvd
Tulare, CA 93274
Phone (559) 624-6358

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

202 W Willow Ave
Ste 502
Visalia, CA 93291
Phone (559) 624-4820

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1891136263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930001",
            "telephone_number": "202-444-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVADHANULA",
        "first_name": "SHIRISHA",
        "middle_name": "A.S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35.136366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.